County-level determinants of dental utilization for Medicaid-enrolled children with chronic conditions: How does place affect use?

► We identify county-level determinants of dental utilization for vulnerable children. ► County-level poverty was associated with lower probability of dental utilization. ► Children in counties with dentist shortages were less likely to utilize dental care. ► There were significant interactions between race×poverty and disability×unemployment. ► County-level factors are important determinants of dental utilization for children.